About the job: PHRN - Medical Billing (100% Onsite in Ortigas) | To Start on January 12, 2026\n\nWITH SIGNING BONUS! \n-depending on experience, to be discussed at the latter part of the process\n\nWork setup: 100% Onsite (Ortigas, Pasig City)\n\nShift: Shifting schedule—predominantly night shift\n\n**Start Date: January 12, 2026 \n\nResponsibilities:\n\nCoverage and Access Specialist (PHRN)\n\n* Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs and Bridge Eligibility Checks) and coverage exception follow-up calls (Prior Authorization (Pas), Non-Formulary Exceptions (NFEs) and Appeals)\n* The volume and case type to be worked to be determined by Novartis, but in collaboration with supplier based on current SLAs within the PSC and expected agent productivity\n* Accurately and concisely document payer interactions to inform cross-functional partners on the patient's coverage status\n\nCare Navigator (PHRN)\n\n* Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program\n* Learn and utilize protocols to respond to customer phone, chat, fax, SMS/text, mail, and e-mail inquiries, as well as other communication channels in a prompt and courteous manner\n* Professionally and compliantly interact with customers, relevant Novartis associates, and other external contacts during inbound and outbound phone calls\n* Manage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage and follow-up where required\n\nRequirements:\n\n* Must have an active PHRN license\n* With or without BPO experience\n* Good English communication skills\n* Knowledge of healthcare regulations and compliance\n* Ability to work independently and as part of a team